| NPI | 1699185678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA LORD Owner 704-941-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |